MS. SHANNON KELLY LICSW, CPCC
NPI 1508109083
Social Worker - Clinical in Cambridge, MA

Active since April 03, 2013
875 MASSACHUSETTS AVE, #61, CAMBRIDGE, MA 02139(617) 642-2371 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon Kelly Licsw, Cpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNON KELLY LICSW, CPCC (NPI 1508109083) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (111493) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1508109083
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANNON KELLYCredential: LICSW, CPCC
Location Address875 MASSACHUSETTS AVE, #61Cambridge, MA 02139-3067
Mailing Address14 Centre St, #6Cambridge, MA 02139-2113 · (617) 642-2371
Sole ProprietorYes
Enumeration DateApril 3, 2013
NPI 1508109083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 111493
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
875 MASSACHUSETTS AVE, Cambridge, MA 02139

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
875 MASSACHUSETTS AVE, SUITE 41
CAMBRIDGE, MA 02139
Psychologist (Clinical)
875 MASSACHUSETTS AVE, SUITE 71
CAMBRIDGE, MA 02139
Counselor (Mental Health)
875 MASSACHUSETTS AVE
CAMBRIDGE, MA 02139
Psychologist (Clinical)
875 MASSACHUSETTS AVE, SUITE 54
CAMBRIDGE, MA 02139
Psychiatry & Neurology (Psychiatry)
875 MASSACHUSETTS AVE, # 55
CAMBRIDGE, MA 02139
Counselor (Mental Health)
875 MASSACHUSETTS AVE
CAMBRIDGE, MA 02139
Counselor (Mental Health)
875 MASSACHUSETTS AVE, 25
CAMBRIDGE, MA 02139
Social Worker (Clinical)
875 MASSACHUSETTS AVE, UNITS 84 & 85
CAMBRIDGE, MA 02139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1508109083. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Shannon Kelly located?

Shannon Kelly practices at 875 Massachusetts Ave #61, Cambridge, MA 02139. The listed phone number is (617) 642-2371.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.